EP0693874A4 - Broad spectrum tumor suppressor genes, gene products and methods for tumor suppression gene therapy - Google Patents
Broad spectrum tumor suppressor genes, gene products and methods for tumor suppression gene therapyInfo
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- EP0693874A4 EP0693874A4 EP94911697A EP94911697A EP0693874A4 EP 0693874 A4 EP0693874 A4 EP 0693874A4 EP 94911697 A EP94911697 A EP 94911697A EP 94911697 A EP94911697 A EP 94911697A EP 0693874 A4 EP0693874 A4 EP 0693874A4
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- C12N15/00—Mutation or genetic engineering; DNA or RNA concerning genetic engineering, vectors, e.g. plasmids, or their isolation, preparation or purification; Use of hosts therefor
- C12N15/09—Recombinant DNA-technology
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
- C07K14/46—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates
- C07K14/47—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates from mammals
- C07K14/4701—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates from mammals not used
- C07K14/4736—Retinoblastoma protein
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K48/00—Medicinal preparations containing genetic material which is inserted into cells of the living body to treat genetic diseases; Gene therapy
Definitions
- This invention is in the field of tumor suppressor genes (anti-oncogenes) and relates in general to products and methods for practicing broad- spectrum tumor suppressor gene therapy of various human cancers.
- the invention relates to methods for treating tumor cells (1) administering vectors comprising a nucleic acid sequence coding for a second in-frame AUG codon-initiated retinoblastoma protein of about 94 kD or (2) administering an effective amount of a protein coded for by the nucleic acid sequence.
- Cancers and tumors are the second most prevalent cause of death in the United States, causing 450,000 deaths per year. One in three Americans will develop cancer, and one in five will die of cancer (Scientific American Medicine, part 12, I, 1, section dated 1987). While substantial progress has been made in identifying some of the likely environmental and hereditary causes of cancer, the statistics for the cancer death rate indicates a need for substantial improvement in the therapy for cancer and related diseases and disorders. 1.3. Cancer Genes
- cancer genes i.e., genes that have been implicated in the etiology of cancer, have been identified in connection with hereditary forms of cancer and in a large number of well-studied tumor cells. Study of cancer genes has helped provide some understanding of the process of tumorigenesis. While a great deal more remains to be learned about cancer genes, the presently known cancer genes serve as useful models for understanding tumorigenesis. Cancer genes are broadly classified into “oncogenes” which, when activated, promote tumorigenesis, and “tumor suppressor genes” which, when damaged, fail to suppress tumorigenesis. While these classifications provide a useful method for conceptualizing tumorigenesis, it is also possible that a particular gene may play differing roles depending upon the particular allelic form of that gene, its regulatory elements, the genetic background and the tissue environment in which it is operating.
- oncogenes are somatic cell genes that are mutated from their wild-type alleles (the art refers to these wild-type alleles as protooncogenes) into forms which are able to induce tumorigenesis under certain conditions.
- the art refers to these wild-type alleles as protooncogenes
- the oncogenes ra ⁇ and myc are considered as models for understanding oncogenic processes in general.
- the ra ⁇ oncogene is believed to encode a cytoplasmic protein
- the myc oncogene is believed to encode a nuclear protein.
- Neither the ra ⁇ oncogene nor the myc oncogene alone is able to induce full transformation of a normal cell into a tumor cell, but full tumorigenesis usually occurs when both the ras and myc oncogenes are present and expressed together in the same cell (Weinberg, R.A., .1989, Cancer Research 49:3713-3721, at page 3713).
- Such collaborative effects have been observed between a number of other studied oncogenes.
- the collaborative model of oncogene tumorigenesis must be qualified by the observation that a cell expressing the -ras oncogene that is surrounded by normal cells does not undergo full transformation. However, if most of the surrounding cells are also ras-expressing, then the ras oncogene alone is sufficient to induce tumorigenesis in a ras-expressing cell. This observation validates the multiple hit theory of tumorigenesis because a change in the tissue environment of the cell hosting the oncogene may be considered a second hit.
- An alternative and equally valid hypothesis is that events that collaborate with the activation of an oncogene such as ra ⁇ or myc may include the inactivation of a negative regulatory factor or factors (Weinberg, R.A. , 1989, Cancer Research 49:3713-3721, at 3717; Goodrich, D.W. and Lee, W-H. , 1992, Nature 360:177-179), i.e., a tumor suppressor protein.
- Tumor suppressor genes are genes that, in their wild-type alleles, express proteins that suppress abnormal cellular proliferation. When the gene coding for a tumor suppressor protein is mutated or deleted, the resulting mutant protein or the complete lack of tumor suppressor protein expression may fail to correctly regulate cellular proliferation, and abnormal cellular proliferation may take place, particularly if there is already existing damage to the cellular regulatory mechanism. A number of well- studied human tumors and tumor cell lines have been shown to have missing or nonfunctional tumor suppressor genes.
- tumor suppression genes include, but are not limited to, the retinoblastoma susceptibility gene or RB gene, the p53 gene, the deleted in colon carcinoma (DCC) gene and the neurofibromatosis type 1 (NF-1) tumor suppressor gene (Weinberg, R.A. Science, 1991, 254:1138-1146). Loss of function or inactivation of tumor suppressor genes may play a central role in the initiation and/or progression of a significant number of human cancers.
- tumor suppressor genes are large and growing. The following discussion of tumor suppressor genes is not intended to provide a complete review of all known and putative tumor suppressor genes, but is provided as background to indicate the state of the art and the problems to be overcome before the art is able to provide successful genetic therapy of diseases and disorders characterized by abnormally proliferating cells, e.g., tumor or cancer cells.
- the Retinoblastoma Gene is one of the better studied tumor suppressor genes.
- the size of the RB gene complementary DNA (cDNA) permits ready manipulation of the gene, so that insertions of the RB gene have been made into a number of cell lines.
- the RB gene has been shown to be missing or defective in a majority of retinoblastomas, sarcomas of the soft tissues and bones, and in approximately 20 to 40 percent of breast, lung, prostate and bladder carcinomas (Lee, W-H. , et al., PCT Publ. No. WO 90/05180, at pages 38 and 39; see also, Bookstein, R. and Lee, W-H., 1991, Crit. Rev. Oncog. , 2:211-217; Benedict, W.F. et al., J. Clin. Invest.. 1990, 85:988-993) .
- the predicted RB gene product has 928 amino acids and an expected molecular weight of 106 kD (Lee et al., 1987, Nature, 329:642-645).
- the natural factor corresponding to the predicted RB gene expression product has been identified as a nuclear phosphoprotein having an apparent relative molecular mass (Mr) of 110-114 kD (Lee et al., 1987, Nature. 329:642-645) or 110-116 kD (Xu et al., 1989, Onco ⁇ ene 4:807-812).
- Mr apparent relative molecular mass
- the literature generally refers to the protein encoded by the RB gene as pllO* 8 .
- the full length RB protein of 928 amino acids is also referred to as the 115 kD (Yokota et al., 1988, Oncogene, 3:471-475), or 105 kD (Whyte et al . , 1988, Nature. 334:124-129) RB proteins.
- Various mutations of the RB gene are known. These are generally inactive.
- pS ⁇ 3 a 56 kD truncated RB protein, designated as pS ⁇ 3 , that is considered to function in the same way as does pllO 113 retains activity (Goodrich et al., 1992, Nature 360:177-179).
- normal human cells show an RB protein pattern consisting of a lower sharp band with an Mr of 110 kD and a broader, more variable region above this band with an Mr ranging from 110 kD to 116 kD.
- the 110 kD band is the underphosphorylated RB protein, whereas the broader region represents the phosphorylated RB protein.
- the heterogeneity of the molecular mass results from a varying degree of phosphorylation (Xu et al., 1989, Oncogene, 4:807-812) .
- the RB protein shows cyclical changes in phosphorylation. Most RB protein is unphosphorylated during Gl phase, but most (perhaps all) RB molecules are phosphorylated in S and G2 phases (Xu et al., 1989, Oncogene, 4:807-812; DeCaprio et al., 1989, Cell. 58:1085-1095; Buchkovich et al., 1989, Cell. 58:1097-1105; Chen et al., 1989, Cell. 58:1193-1198; Mihara et al., 1989, Science. 246:1300-1303).
- underphosphorylated RB protein binds to SV40 large T antigen. Given that RB protein binding by large T antigen is probably important for the growth promoting effects of large T antigen, this suggests that the underphosphorylated RB protein is the active form of the RB protein, and the phosphorylated RB protein in S and G2 phases is inactive (Ludlow et al., 1989, Cell. 56:57-65).
- the RB gene expressing the first in-frame AUG codon-initiated RB protein is also referred to herein as the intact RB gene, the RB 110 gene or the pllO ⁇ coding gene. It has also been observed that lower molecular weight ( ⁇ 100 kD, 98 kD, or 98-104 kD) bands of unknown origin which are immunoreactive to various anti-RB antibodies can be detected in immunoprecipitation and Western blots (Xu et al., 1989, Oncogene. 4:807-812; Furukawa et al., 1990, Proc. Natl. Acad. Sci.. USA. 87:2770-2774; Stein et al., 1990, Science. 249:666-669).
- the deduced second AUG codon-initiated RB protein would be 98 kD, or 12 kD smaller than the pllO* 8 protein. It has been proposed that the lower molecular weight bands are the underphosphorylated (98 kD) and phosphorylated (98-104 kD) RB protein translated from the second AUG codon of the RB mRNA (Xu et al., 1989, Oncogene, 4:807-812), although no data directly supported this hypothesis.
- Sections 4.2.1, and Figure 5 infra provide data indicating the non-identity of the 98 kD protein bands of unknown origin and the second AUG codon-initiated protein products. It has been proposed that introduction of a functional RB 110 gene into an RB-minus tumor cell will likely "normalize" the cell. Of course, it is not expected that tumor cells which already have normal RB 110 gene expression ("RB+”) will respond to RB 110 gene therapy, because it is presumed that adding additional RB expression cannot correct a non-RB genetic defect.
- Neurofibromatosis type 1 or von Recklinghausen neurofibromatosis results from the inheritance of a predisposing mutant allele or from alleles created through new germline mutations (C.J. Marshall, 1991, Cell. 64:313-326).
- the neurofibromatosis type 1 gene referred to as the NF1 gene, is a relatively large locus exhibiting a mutation rate of around 10 4 . Defects in the NF1 gene result in a spectrum of clinical syndromes ranging from cafe-au-lait spots to neurofibromas of the skin and peripheral nerves to Schwannomas and neurofibrosarcomas.
- the NF1 gene encodes a protein of about 2485 amino acids that shares structural similarity with three proteins that interact with the products of the ra ⁇ protooncogene (Weinberg et al., 1991, Science. 254:1138-1146 at page 1141).
- the NF1 amino acid sequence shows sequence homology to the catalytic domain of ra ⁇ GAP, a GTPase-activating protein for p21 ra ⁇ (C.J. Marshall, 1991, Cell. 64:313-326 at pages 320 and 321).
- NFl in cell cycle regulation
- yeast C.J. Marshall, (1991, Cell. 64:313-326, bridging pages 320 and 321, and citing to Ballester et al, 1990, Cell. 63:851-859).
- C.J. Marshall 1991, Cell. 64:313-326 at page 321; Weinberg et al., 1991, Science. 254:1138-1146 at page 1141).
- the p53 Gene Somatic cell mutations of the p53 gene are said to be the most frequently mutated gene in human cancer (Weinberg et al., 1991, Science. 254:1138-1146 at page 1143) .
- the normal or wild-type p53 gene is a negative regulator of cell growth, which, when damaged, favors cell transformation (Weinberg et al. supra) .
- the p53 expression product is found in the nucleus, where it may act in parallel with or cooperatively with pllO 8 . This is suggested by a number of observations, for example, both p53 and pllO* 8 proteins are targeted for binding or destruction by the oncoproteins of SV40, adenovirus and human papillomavirus.
- Tumor cell lines deleted for p53 have been successfully treated with wild-type p53 vector to reduce tu origenicity (Baker, S.J., et al., 1990, Science. 249:912-915) .
- the introduction of either p53 or RB U0 into cells that have not undergone lesions at these loci does not affect cell 5 proliferation (Marshall, C.J., 1991, Cell, 64:313-326 at page 321; Baker, S.J., et al., 1990, Science. 249:912-915; Huang, H.-J.S., et al., 1988 Science. 242:1563-1566).
- Such experiments suggest that sensitivity of cells to the suppression of their
- the DCC gene is a more than approximately one million base pair gene coding for a 190-kD transmembrane phosphoprotein which is hypothesized to be a receptor (Weinberg et al., 1991, Science. 254:1138-1146 at page 1141), the loss of which allows the affected cell a growth advantage. It has also been noted that the DCC has partial sequence homology to the neural cell adhesion molecule (Marshall, 1991, Cell. 64:313-326) which might suggest a role for the DCC protogene in regulating cell to cell interactions.
- the large size and complexity of the DCC gene, together with the complexity of the K-ras, p53 and possibly other genes involved in colon cancer tumorigenesis demonstrates a need for a broad-spectrum tumor suppressor gene and methods of treating colon carcinoma cells which do not depend upon manipulation of the DCC gene or on the identification of other specific damaged genes in colon carcinoma cells.
- Retroviral vectors in this context are retroviruses from which all viral genes have been removed or altered so that no viral proteins are made in cells infected with the vector. Viral replication functions are provided by the use of retrovirus 'packaging' cells that produce all of the viral proteins but that do not produce infectious virus. Introduction of the retroviral vector DNA into packaging cells results in production of virions that carry vector RNA and can infect target cells, but no further virus spread occurs after infection. To distinguish this process from a natural virus infection where the virus continues to replicate and spread, the term transduction rather than infection is often used.
- retroviral vectors for gene therapy are the high efficiency of gene transfer into replicating cells, the precise integration of the transferred genes into cellular DNA, and the lack of further spread of the sequences after gene transduction (Miller, A.D., Nature. 1992, 357:455-460) .
- the potential for production of replication- competent (helper) virus during the production of retroviral vectors remains a concern, although for practical purposes this problem has been solved. So far, all FDA-approved retroviral vectors have been made by using PA317 amphotropic retrovirus packaging cells (Miller, A.D., and Buttimore, C. , Molec. Cell Biol. , 1986, 6:2895-2902).
- helper virus production Even by stringent assays that allow for amplification of such events (Lynch, CM., and Miller, A.D., J. Viral.. 1991, 65:3887-3890).
- Other packaging cell lines are available. For example, cell lines designed for separating different retroviral coding regions onto different plasmids should reduce the possibility of helper virus production by recombination. Vectors produced by such packaging cell lines may also provide an efficient system for human gene therapy (Miller, A.D., 1992, Nature, 357:455-460).
- Non-retroviral vectors have been considered for use in genetic therapy.
- One such alternative is the adenovirus (Rosenfeld, M.A. , et al., 1992, Cell.
- adenovirus vectors Major advantages of adenovirus vectors are their potential to carry large segments of DNA (36 Kb genome) , a very high titre (10 11 ml" 1 ) , ability to infect non-replicating cells, and suitability for infecting tissues in situ, especially in the lung.
- Plasmid DNA should be easy to certify for use in human gene therapy because, unlike retroviral vectors, it can be purified to homogeneity.
- liposome-mediated DNA transfer several other physical DNA transfer methods such as those targeting the DNA to receptors on cells by complexing the plasmid DNA to proteins have shown promise in human gene therapy (Wu, G.Y., et al., 1991, J. Biol. Chem..
- the proposed method of treatment requires identification of the damaged tumor suppressor gene, and introduction of the corresponding undamaged gene (including a promoter and a complete encoding sequence) into the affected tumor cells by means of a vector such as a retrovirus able to express the gene product. It is proposed that the incorporated functional gene will convert the target cell to a non-malignant state.
- the pllO* 8 reconstituted tumor cells still form invasive tumors in nude mice (Xu, H-J., et al., 1991, Cancer Research. 51:4481-4485; Takahashi, R. , et al., 1991, Proc. Natl. Acad. Sci.. USA. 88:5257-5261; Banerjee, A., et al., 1992, Cancer Research. 52:6297-6304).
- pllO* 8 reconstituted retinoblastoma cells inoculated into an orthotopic site in this instance, the eye
- consistently produced tumors Xu, H-J., et al., 1991, Cancer Research 51:4481-4485) .
- Another proposed method of treating cancer by gene therapy is to antagonize the function of an oncogene by placing an artificial gene, constructed to have an inverted nucleotide sequence compared to the oncogene, into a tumor cell (U.S. patent number 4,740,463, issued April 26, 1988 by Weinberg, et al.).
- retinoblastoma gene is one of those tumor suppressor genes that is readily accessible to study, thus it provides a model for understanding some of the other disadvantages to cancer gene replacement therapy as heretofore understood. It is known that reintroduction of the retinoblastoma tumor suppressor gene into RB-defective tumor cells inhibits the tumor cell growth and suppresses the neoplastic phenotype of the target cells (WO 90/05180, cited supra ; Huang et al., 1988, Science.
- tumorigenicity is often incomplete.
- a significant percentage of the RB- reconstituted tumor cells still form small tumors after a longer latency period in nude mouse tumorigenicity assays.
- Such tumors although retaining normal RB expression, are histologically malignant and invasive (Xu et al., 1991, Cancer Res. , 51:4481-4485; Takahashi et al., 1991, Proc. Natl. Acad. Sci.. USA. 88:5257-5261; Banerjee et al., 1992, Cancer Res.. 52:6297-6304).
- TSGR tumor suppressor gene resistance
- RB proteins have an active form (underphosphorylated protein) and an inactive form (phosphorylated protein) . Therefore, RB-positive tumor cells may have inherited or acquired the ability to phosphorylate RB proteins to the inactive state and allow tumor cell proliferation to continue.
- conversion of RB-minus cells with plasmid or virus vectors coding for the pllO* 8 protein provides only incomplete suppression, or even exacerbation of a percentage of the malignant cell population because the pllO* 8 protein remains phosphorylated and inactive in some of the target cells.
- the tumor cells expressing the RB 110 gene may simply have again inactivated the RB 110 gene by mutation in subsequent cell divisions (Lee et al., 1990, Immunol. Ser. 51:169-200, at page 188) .
- the tumor cells expressing the RB 110 gene may simply have again inactivated the RB 110 gene by mutation in subsequent cell divisions (Lee et al., 1990, Immunol. Ser. 51:169-200, at page 188) .
- the second in-frame AUG codon-initiated retinoblastoma suppressor protein of about 94 kD (p94 RB ) is a broad- spectrum tumor suppressor, and that insertion of a gene capable of expressing this protein, or the protein itself, into an abnormally proliferating cell, such as a cancer or tumor cell, causes that cell to enter a senescent-like state, terminating the proliferation.
- the cell so-treated simply stops replicating and dies.
- the cell may possess any type of genetic defect, known or unknown, so that there is no need to determine the exact nature of the genetic defect associated with the abnormal proliferation. Further, the population of treated cells exhibits an unexpectedly much lower incidence of TSGR resurgence and exacerbation of malignancy than do cells treated with any other tumor suppressor gene. The method is repeated as needed.
- the invention provides p94 RB encoding vectors and p94 RB proteins for use in treatment of tumors or cancers, and methods of preparing p94 RB proteins suitable for use in methods of treatment.
- the invention also provides methods of treatment for mammals such as humans, as well as methods of treating abnormally proliferating cells, such as cancer or tumor cells.
- the invention contemplates treating abnormally proliferating cells, or mammals having a disease characterized by abnormally proliferating cells by any suitable method known to permit a host cell compatible p94 RB encoding vector or a p94 ⁇ protein to enter the cells to be treated so that suppression of proliferation is achieved.
- the invention comprises a method of treating a disease characterized by abnormally proliferating cells, in a mammal, by administering an expression vector coding for p94 RB to the mammal having a disease characterized by abnormally proliferating cells, inserting the expression vector into the abnormally proliferating cells, and expressing p94 RB in the abnormally proliferating cells in an amount effective to suppress proliferation of those cells.
- the expression vector is inserted into the abnormally proliferating cells by viral infection or transduction, liposome-mediated transfection, polybrene-mediated transfection, CaP04 mediated transfection and electroporation. The treatment is repeated as needed.
- the invention comprises a method of treating abnormally proliferating cells of a mammal by inserting a p94 RB encoding expression vector into the abnormally proliferating cells and expressing p94 RB therein in amounts effective to suppress proliferation of those cells. The treatment is repeated as needed.
- the invention provides a DNA molecule able to suppress growth of an abnormally proliferating cell.
- the DNA molecule encodes a p94 RB protein having an amino acid sequence substantially according to SEQ ID NO:3, provided that the DNA molecule does not also code for a pllO RB protein.
- the DNA molecule has the DNA sequence of SEQ ID NO:l, and is expressed by an expression vector.
- the expression vector may be any host cell-compatible vector.
- the vector is preferably selected from the group consisting of a retroviral vector, an adenoviral vector and a herpesviral vector.
- the invention provides a p94 RB protein having an amino acid sequence substantially according to SEQ ID NO:3.
- the invention provides a method of producing a p94 RB protein by the steps of: inserting a compatible expression vector comprising a p94 RB encoding gene into a host cell and causing the host cell to express p94 RB protein.
- the invention comprises a method of treating abnormally proliferating cells of a mammal ex vivo by the steps of: removing a tissue sample in need of treatment from a mammal, the tissue sample comprising abnormally proliferating cells; contacting the tissue sample in need of treatment with an effective dose of an p94 RB encoding expression vector; expressing the p94 RB in the abnormally proliferating cells in amounts effective to suppress proliferation of the abnormally proliferating cells.
- the treatment is repeated as necessary; and the treated tissue sample is returned to the original or another mammal.
- the tissue treated ex vivo is blood or bone marrow tissue.
- the invention comprises a method of treating a disease characterized by abnormal cellular proliferation in a mammal by a process comprising the steps of administering p94 RB protein to a mammal having a disease characterized by abnormally proliferating cells, such that the p94 RB protein is inserted into the abnormally proliferating cells in amounts effective to suppress abnormal proliferation of the cells.
- the p94 RB protein is liposome encapsulated for insertion into cells to be treated. The treatment is repeated as necessary.
- the invention comprises a method of treating abnormally proliferating cells of a mammal ex vivo by a process comprising the steps of removing a tissue sample in need of treatment from a mammal, the tissue sample comprising abnormally proliferating cells contacting the tissue sample in need of treatment with an effective dose of a p94 RB protein. The treatment is repeated as necessary, and then the treated tissue is returned to the mammal or placed into another mammal.
- the tumor or cancer cells to be treated are cells having one or more genetically defective tumor suppressor genes and oncogenes selected from the group consisting of an RB, a p53, a c-myc, an N-ras and a c-yes-1 gene.
- the tumor or cancer cells are cells having no detectable genetic defect of a tumor suppressor gene selected from the group consisting of an RB gene and a p53 gene.
- the tumor or cancer cells are lung carcinoma cells.
- the p94 RB encoding expression vector or the p94 RB protein are administered by means of aerosol delivery of liposome- encapsulated p94 RB encoding expression vector or p94 RB protein into a lung in need of such treatment.
- cancer or tumor are clinically descriptive terms which encompass a myriad of diseases characterized by cells that exhibit unchecked and abnormal cellular proliferation.
- tumor when applied to tissue, generally refers to any abnormal tissue growth, i.e., excessive and abnormal cellular proliferation.
- a tumor may be "benign” and unable to spread from its original focus, or
- malignant and capable of spreading beyond its anatomical site to other areas throughout the hostbody.
- cancer is an older term which is generally used to describe a malignant tumor or the disease state arising therefrom.
- the art refers to an abnormal growth as a neoplasm, and to a malignant abnormal growth as a malignant neoplasm.
- abnormal cellular proliferation is the result of a failure of one or more of the mechanisms controlling cell growth and division.
- the mechanisms controlling cell growth and division include the genetic and tissue-mediated regulation of cell growth, mitosis and differentiation. These mechanisms are thought to act at the cell nucleus, the cell cytoplasm, the cell membrane and the tissue-specific environment of each cell. The process of transformation of a cell from a normal state to a condition of excessive or abnormal cellular proliferation is called tumorigenesis.
- tumorigenesis is usually a multistep progression from a normal cellular state to, in some instances, a full malignancy. It is therefore believed that multiple "hits" upon the cell regulatory mechanisms are required for full malignancy to develop. Thus, in most instances, it is believed that there is no single cause of excessive proliferation, but that these disorders are the end result of a series of cumulative events.
- a malignant tumor or cancer capable of unchecked and rapid spread throughout the body is the most feared and usually the deadliest type of tumor, even so-called benign tumors or growths can cause significant morbidity and mortality by their inappropriate growth.
- a benign tumor can cause significant damage and disfigurement by inappropriate growth in cosmetically sensitive areas, or by exerting pressure on central or peripheral nervous tissue, blood vessels and other critical anatomical structures.
- a broad-spectrum tumor suppressor gene is a genetic sequence coding for a protein that, when inserted into and expressed in an abnormally proliferating host cell, e.g., a tumor cell, suppresses abnormal proliferation of that cell irrespective of the cause of the abnormal proliferation.
- the second in-frame AUG (ATG in DNA) codon-initiated retinoblastoma gene disclosed herein exemplifies such a broad-spectrum tumor suppressor gene and is referred to herein as the p94 RB coding gene, as the RB 94 gene or as a DNA molecule coding for pRB 94 .
- the p94 RB coding gene comprises the nucleotide sequence from exon 3, nucleotide 355 to exon 27, nucleotide 264.
- the p94 RB encoding gene by definition excludes that portion of the RB n0 gene upstream from the second in-frame AUG start codon.
- Figures 1A-1F show the DNA sequence of the RB 94 gene wherein the ATG codon begins at nucleotide 19 of that figure (SEQ ID NO:l; SEQ ID NO:2) .
- a broad-spectrum tumor suppressor protein (including phosphoproteins, lipoproteins, glycoproteins and other protein-based derivatives) is a substance that when injected into, absorbed by or caused to be expressed in any abnormally proliferating cell, reduces or completely suppresses abnormal cellular proliferation.
- the protein expressed by the second in-frame AUG codon-initiated retinoblastoma gene disclosed herein exemplifies such a broad- spectrum tumor suppressor protein. It is a phosphoprotein of about 94 kD relative molecular mass, and is also referred to herein as p94 RB (SEQ ID NO:3).
- any other fragment of a tumor suppressor protein e.g., the third or fourth AUG codon-initiated retinoblastoma protein of about 90 kD and 83 kD, respectively, also has the property of suppressing abnormal cellular proliferation.
- Figures 2A-2F Amino acid sequence of the 94 kDa therapeutic RB protein (SEQ ID N0:3).
- Figure 3 Construction of baculovirus expression vector for the 94 kDa therapeutic RB protein synthesis; *R.S. is recombination sequence.
- Figures 4A and 4B Intracellular localization of recombinant baculovirus-produced pllO* 3 and p94 RB in insect cells: Figure 4A shows mock-infected Sf9 cells; Figure 4B shows cells producing pllO ⁇ ; and Figure 4C shows cells producing p94 RB ; note that protein is localized to the nucleus in Figures 4B and 4C. Protein localization is by anti-RB immunochemical staining.
- Figure 5 A diagram of complex formation of baculovirus-expressed and subsequently purified pllO* 8 and p94 RB proteins with SV40 T antigen.
- the immunoaffinity chromatography purified proteins were mixed with an equal amount of T antigen, and aliquots of the mixture were immunoprecipitated with PAB419 anti-T antibody, followed by Western blotting. The blot was sequentially incubated with MAb-1 anti-RB antibody and PAB419 antibody.
- Lane 1 lysate of T antigen immortalized W138 VA13 fibrobrasts was used as a control; lane 2, purified pllO* 8 ; lane 3, co- precipitation of T-Ag with pllO* 8 ; lane 4, purified p94 RB ; lane 5, co-precipitation of T-Ag with p94 ⁇ .
- Figures 6A and 6B Construction of recombinant plasmids for high-level expression of pllO* 8 (pCMV-f- RB35) and p94 RB (pCMV-s-RB42) proteins in human cells using cytolomegalovirus promoter/enhancer:
- Figure 6A is an explanatory drawing of the pllO* 3 coding cDNA;
- Figure 6B provides maps of the pllOTM and p94 RB expression plasmids where pCMV-f-RB35 codes for pllO* 3 and pCMV-s-RB42 codes for p94 RB .
- pCMV-s-RB42 has most of pllO 83 coding region deleted upstream of the second ATG.
- Figures 7A and 7B Construction of recombinant plasmids for expression of pllO 0 (pBA-f-RB33) and p94 RB (p ⁇ A-s-RB34) proteins in human cells using ⁇ -actin promoter:
- Figure A is a map of the pllO* 8 coding plasmid, pBA-f-RB33;
- Figure B is a map of the p94 RB coding plasmid, pBA-s-RB34. Note that pBA-s-RB34 has most of the pllO* 8 coding region deleted upstream of the second ATG.
- Figures 8A, 8B and 8C Morphological effects of pllO* 8 and p94 RB expression on RB-defective bladder carcinoma cell line 5637 (ATCC HTB9) :
- Figure 8A is mock-transfected HTB9 cells;
- Figure 8B is pllO 88 expressing HTB9 transfectants;
- Figure 8C is p94 RB - expressing HTB9 transfectants.
- Arrows indicate examples for RB-positive immunostained cells. Note that the pllO* 8 expressing cells of Figure 8B appear normal, but that the p94 RB expressing cells of Figure 8C are senescent.
- FIG. 9 Half-life analysis of pllOTM and p94 RB proteins in RB-reconstituted bladder carcinoma cell line, 5637.
- the bladder tumor cells were transfected in multiple dishes with either pllO** (p ⁇ A-f-RB33) or p94 ⁇ (pBA-s-RB34) expression plasmids. Twenty-four hours after transfection the cells were labeled with [ 35 S]-methionine and chased with excess unlabeled methionine for 0, 6, 12 and 24 hours, respectively.
- pllO* 8 and p94 RB proteins were determined by immunoprecipitation: the left side of the figure (0-12 hours) shows the half-life of pllO* 8 is less than 6 hours; the right side of the figure (0-24 hours) shows the half-life of p94 RB is about 12 hours.
- FIG. 10 Western blot analysis of exogenous pllO ⁇ and p94 RB proteins in transiently transfected 5637 cells showing the distinct underphosphorylation state of the p94 ⁇ protein: lane 1 shows normal human fibroblast cell line, WI-38; lane 2 shows parental RB- minus bladder carcinoma cell line, 5637; lane 3 shows 5637 cells transfected with pllO ⁇ -expressing plasmid; lane 4 shows 5637 cells transfected with p94 RB - expressing plasmid.
- FIGS 11A-11C Expression of the human full- length RB protein, pllO* 8 ( Figure 11B) and the broad- spectrum tumor suppressor protein, p94 RB ( Figure 11C) in normal (non-tumorigenic) mouse fibroblast cells via retrovirus plasmid vectors. Both the pllO* 8 - and p94 RB - expressing cells (arrows) have normal viable morphology similar to the parental cells Figure 11A) .
- Figures 12A-12D Expression of the human pllO 88 ( Figure 12C) and p94 RB ( Figure 12D) proteins in mouse urinary bladder mucous membranes in vivo .
- Liposomes were mixed with the pllO**- and p94 RB - expressing plasmids, respectively and infused directly into the mouse bladder via a catheter.
- transitional epithelia expressing the pllOTM Figure 12C, arrows
- p94 RB Figure 12D, arrows
- the present invention is based upon the unexpected discovery that p94 RB expressed by an expression vector in any abnormally proliferating target cell, e.g., a cancer or tumor cell, causes the suppression of the abnormal proliferation.
- the treatment has been effective with all tested tumor cell lines and is not limited to treatment of RB-minus tumor cells.
- the p94 RB protein remains in the active, underphosphorylated form, and has a half-life in the target cell which is two to three times longer than that of pllO**.
- a synergistic combination of accumulation of p94 RB together with its tendency to remain in an underphosphorylated, active form serves to terminate the cell replication cycle in target tumor cells.
- the property of suppressing cell growth and inducing senescence or killing any abnormally proliferating cell irrespective of its genetic defect, is nevertheless completely unanticipated and unexpected.
- a gene coding for the second in- frame AUG codon-initiated RB protein i.e., p94 RB
- p94 RB was expressed by a baculovirus vector in insect host cells as a stable nuclear phosphoprotein.
- the resulting unphosphorylated forms of p94 RB were able to form a specific complex with SV40 T antigen, providing an important verification that the p94 RB protein shares many functional properties of the naturally occurred piio** protein, i.e., phosphorylation, viral oncoprotein association and nuclear tethering (Templeton et al., 1991, Proc. Natl. Acad. Sci.. USA. 88:3033-3037) .
- the effects of transfection by either first or second in-frame AUG codon-initiated RB protein expression plasmid were compared on a number of well known human tumor cell lines.
- the tested cell lines included: an RB-defective human bladder carcinoma cell line, 5637 (ATCC HTB9) ; RB-defective human breast carcinoma cell line, MDA-MB-468 (ATCC HTB132) ; RB- defective human non-small cell lung carcinoma cell line, H2009 (Kratzke, R.A. , et al., 1992, The Journal of Biological Chemistry.
- RB- defective human prostate carcinoma cell line DU145 (ATCC HTB81) ; RB-defective human osteosarcoma cell line, Saos-2 (ATCC HTB85) ; RB-defective human fibrosarcoma metastatic to lung cell line, Hs913T (ATCC HTB152) ; human cervix adenocarcinoma cell line, HeLa (ATCC CCL2) and human fibrosarcoma cell line, HT1080 (ATCC CCL121) . Both the HeLa and HT1080 cell lines have normal pll0 RB expression.
- the study also demonstrated that the RB-minus tumor cells expressing the second in-frame AUG codon- initiated RB protein, p94 RB , did not progress through the cell cycle, as evidenced by their failure to incorporate [ 3 H]-thymidine into DNA.
- the percentage of cells undergoing DNA replication was only slightly lower in cells producing the intact RB protein (pllO 1 ⁇ ) than in cells that were RB-negative.
- the RB- defective bladder carcinoma cell line, 5637 failed to phosphorylate the second in-frame AUG codon-initiated RB protein as shown by Western blot analysis.
- the intact RB protein (pllO* 3 ) expressed in transfected 5637 cells were fully phosphorylated.
- the half-life of the second in-frame AUG codon-initiated RB protein, p94 RB was shown to be two- to three-fold greater than the intact RB protein (pllO* 8 ) . Therefore, the accumulation of only unphosphorylated (active) p94 RB proteins may account for the failure of transiently transfected 5637 tumor cells to enter S phase, and this in turn may cause these tumor cells to senesce and die.
- p94 RB protein has its preferentially associated cellular proteins as compared to lOO* 8 . This difference in associated proteins may also contribute to the unique broad-spectrum tumor cell growth suppressing functions of p94 RB protein.
- an advantage of the present invention is that the methods and products herein disclosed can be used for therapeutic treating tumors having no specific tumor suppressor gene defects, which provides a significant advantage over previous techniques for human tumor suppressor gene therapy.
- Table 1 on the following page, provides a summary of the identification of the tested tumor cell lines, their tumor origin and genetic defects.
- John Wiley & Sons, New York may be used to construct p ⁇ * 3 encoding gene expression vectors consisting of appropriate transcriptional/translational control signals and the desired RB cDNA sequence downstream from the first in- frame AUG codon, that is unable to code for pllO* 8 .
- These methods may include in vitro DNA recombinant and synthetic techniques and in vivo genetic recombination.
- Expression of a nucleic acid sequence encoding a p94 RB may be regulated by a second nucleic acid sequence so that the p94 RB is expressed in a host infected or transfected with the recombinant DNA molecule.
- expression of p94 RB may be controlled by any promoter/enhancer element known in the art.
- the promoter activation may be tissue specific or inducible by a metabolic product or administered substance.
- Promoters/enhancers which may be used to control p94 RB gene expression include, but are not limited to, the native RB promoter, the cytomegalovirus (CMV) promoter/enhancer (Karasuyama, H. , et al., 1989, J. Exp. Med.. 169:13), the human ⁇ -actin promoter (Gunning, P., et al., 1987, Proc. Natl. Acad. Sci. USA. 84:4831-4835), the glucocorticoid-inducible promoter present in the mouse mammary tumor virus long terminal repeat (MMTV LTR) (Klessig, D.F., et al. , 1984, Mol. Cell Biol..
- CMV cytomegalovirus
- MMTV LTR mouse mammary tumor virus long terminal repeat
- Rous sarcoma virus (Yamamoto et al., 1980, Cell 22:787-797), the herpes simplex virus (HSV) thymidine kinase promoter/enhancer (Wagner et al., 1981, Proc. Natl. Acad. Sci. U.S.A. 78:1441-1445), the regulatory sequences of the metallothionein gene (Brinster et al., 1982, Nature 296:39-42), the adenovirus promoter (Yamada et al., 1985, Proc. Natl.
- Expression vectors compatible with mammalian host cells for use in genetic therapy of tumor or cancer cells include, but are not limited to: plasmids, retroviral vectors, adenovirus vectors, herpes viral vectors, and non-replicative avipox viruses, as disclosed, for example, by U.S. Patent No. 5,174,993.
- a plasmid vector derived from pHBAPr-1-neo was constructed for expression of p94 RB in mammalian cells by placing the coding sequence for p94 ⁇ under control of the human ⁇ - actin gene promoter (Gunning, P. et al., Proc. Natl. Acad. Sci..
- a plasmid vector derived from pCMV-Neo-Ba (Baker, S.J., et al., Science. 1990, 249:912-915), was constructed for expression of p94 RB in mammalian cells by placing the coding sequence for p94 RB under control of the cytomegalovirus (CMV) promoter/enhancer sequences.
- CMV cytomegalovirus
- pLLRNL Miller, A.D., et al., 1985, Proc. Natl. Acad. Sci.. USA. 5:431
- pLLRNL Miller, A.D., et al., 1985, Proc. Natl. Acad. Sci.. USA. 5:431
- p94 RB protein under the control of the MuLV LTR promoter, the CMV promoter, the ⁇ -actin promoter or any other effective promoter.
- an adenovirus type 5 (Ad5) deletion mutant, Ad-dl324, and a plasmid, pTG5955 are used to construct an adenovirus vector able to infect mammalian cells and express p94 RB protein under the control of the adenovirus type 2 (Ad2) major late promoter, the CMV promoter, the ⁇ -actin promoter or any other effective promoter.
- expression vectors compatible with host cells suitable for production of p94 RB may be constructed to express p94 RB protein in those compatible host cells. These include but are not limited to mammalian cells infected with a virus (e.g., adenovirus, retrovirus, herpes simplex virus, avipox virus) ; insect cells infected with a virus (e.g. , baculovirus) ; microorganisms such as yeasts containing yeast vectors, or bacteria transformed with bacteriophage DNA, plasmid DNA, or cosmid DNA.
- the expression controlling elements of vectors vary in their strengths and specifications. Depending on the host-vector system utilized, any one of a number of suitable transcription and translation elements may be used.
- the produced p94 RB may be purified from host cells by affinity chromatography, electrophoresis, high-performance liquid chromatography (HPLC) or any other methods known to the art.
- an engineered derivative of Autographa California Multiple Nuclear Polyhedrosis Virus (“AcMNPV”) was used to produce p94 RB protein in cultured Fall Army worm Spondoptera frugiperda cells (Sf9 cells) with a strong temporally regulated promoter of the polyhedron gene whose product represents 50% or more of total cellular proteins during a lytic infection.
- the baculovirus-expressed p94 ⁇ protein was subsequently purified by im unoaffinity chromatography.
- Expression vectors containing p94 RB coding inserts can be identified by three general approaches: (a) nucleic acid hybridization, (b) presence or absence of "marker" gene functions, and (c) expression of inserted sequences.
- the presence of a p94 RB coding gene inserted in an expression vector can be detected by nucleic acid hybridization using probes comprising sequences that are homologous/complementary to the inserted p94 RB coding gene.
- Such hybridization can be carried out under stringent or nonstringent conditions, depending upon the size and sequence of the probe selected.
- the expression vector/host system can be identified and selected based upon the presence or absence of certain "marker" gene functions (e.g., thymidine kinase activity, resistance to antibiotics, viral occlusion formation in a baculovirus vector infected insect cell, etc.) caused by introduction of the expression vector into the host cell.
- certain "marker" gene functions e.g., thymidine kinase activity, resistance to antibiotics, viral occlusion formation in a baculovirus vector infected insect cell, etc.
- the expression vector containing the p94 RB coding gene can be identified by the presence of the marker gene function (geneticin resistance) .
- expression vectors containing a p94 RB coding gene can be identified by assaying the p94 RB coding gene products expressed by the vectors.
- assays can be based, for example, on the physical or functional properties of the p94 RB gene products in in vitro or in vivo assay systems including metabolic radiolabelling by [ 35 S] methionine, SDS-polyacrylamide gel electrophoresis, binding with a specific antibody, and phosphorylation by a protein kinase.
- An appropriate p94 RB coding expression vector i.e., a vector which contains the necessary elements for the transcription and translation of the p94 RB protein-coding sequence may be introduced into a host cell.
- a host cell may be any cell type compatible with the vector for expressing and producing p94 RB .
- the host cell is a mammalian tumor cell to be treated.
- the host cell is a human tumor cell to be treated.
- Expression of the p94 RB in a host cell may be transient, permanent, or inducible.
- the necessary transcriptional and translational signals can also be supplied by the native RB gene and/or its flanking regions.
- a variety of vector/host systems may be utilized to express the p94 RB protein-coding sequence in a tumor cell to be treated. These include but are not limited to mammalian cell systems transfected, infected or transduced with a plasmid, or a virus (e.g., adenovirus, retrovirus, herpes simplex virus, avipox virus) .
- the expression elements of vectors vary in their strengths and specificities. Depending on the host cell to be treated, any one or more of a number of suitable transcription and translation elements may be used. 3.3.3.
- the p94 RB encoding gene construct of the present invention may be placed by methods well known to the art into an expression vector such as a plasmid or viral expression vector.
- a plasmid expression vector may be introduced into a tumor cell by calcium phosphate transfection, liposome (for example, LIPOFECTIN)-mediated transfection, DEAE Dextran- mediated transfection, polybrene-mediated transfection, electroporation and any other method of introducing DNA into a cell.
- a viral expression vector may be introduced into a target cell in an expressible form by infection or transduction.
- a viral vector includes, but is not limited to: a retrovirus, an adenovirus, a herpes virus and an avipox virus.
- p94 RB When p94 RB is expressed in any abnormally proliferating cell, the cell replication cycle is arrested, thereby resulting in senescence and cell death and ultimately, reduction in the mass of the abnormal tissue, i.e., the tumor or cancer.
- a vector able to introduce the gene construct into a target cell and able to express p94 RB therein in cell proliferation-suppressing amounts can be administered by any effective method.
- a physiologically appropriate solution containing an effective concentration of active vectors can be administered topically, intraocularly, parenterally, orally, intranasally, intravenously, intramuscularly, subcutaneously or by any other effective means.
- the vector may be directly injected into a target cancer or tumor tissue by a needle in amounts effective to treat the tumor cells of the target tissue.
- a cancer or tumor present in a body cavity such as in the eye, gastrointestinal tract, genitourinary tract (e.g., the urinary bladder) , pulmonary and bronchial system and the like can receive a physiologically appropriate composition (e.g., a solution such as a saline or phosphate buffer, a suspension, or an emulsion, which is sterile except for the vector) containing an effective concentration of active vectors via direct injection with a needle or via a catheter or other delivery tube placed into the cancer or tumor afflicted hollow organ.
- a physiologically appropriate composition e.g., a solution such as a saline or phosphate buffer, a suspension, or an emulsion, which is sterile except for the vector
- Any effective imaging device such as X-ray, sonogra , or fiberoptic visualization system may be used to locate the target tissue and guide the needle or catheter tube.
- a physiologically appropriate solution containing an effective concentration of active vectors can be administered systemically into the blood circulation to treat a cancer or tumor which cannot be directly reached or anatomically isolated.
- target tumor or cancer cells can be treated by introducing p94 RB protein into the cells by any known method.
- liposomes are artificial membrane vesicles that are available to deliver drugs, proteins and plasmid vectors both jln vitro or jLn vivo (Mannino, R.J. et al. , 1988, Biotechniques. 6:682-690) into target cells (Newton, A.C. and Huestis, W.H.,
- p94 RB protein can be encapsulated at high efficiency with liposome vesicles and delivered into mammalian cells in vitro or in vivo.
- Liposome-encapsulated p94 RB protein may be administered topically, intraocularly, parenterally, intranasally, intratracheally, intrabronchially, intramuscularly, subcutaneously or by any other effective means at a dose efficacious to treat the abnormally proliferating cells of the target tissue.
- the liposomes may be administered in any physiologically appropriate composition containing an effective concentration of encapsulated p94 RB protein.
- the gene construct and vectors of the present invention are effective in inhibiting the growth or mitosis or both of any type of tumor cell.
- the gene construct of the invention has demonstrated effectiveness in treating tumor cells of carcinomas and sarcomas.
- the gene construct of the invention has demonstrated effectiveness in suppressing replication and inducing cell senescence followed by cell death in the following tumor cell types: bladder carcinoma, lung carcinoma, breast carcinoma, prostate carcinoma, fibrosarcoma, osteosarcoma and cervix carcinoma.
- the gene construct of the invention has demonstrated effectiveness in suppressing replication and inducing cell senescence followed by cell death in the tumor cells having the following identified genetic defects: tumor suppressor gene RB and p53 mutation, oncogene myc activation, and oncogene N-ras and c-yes-1 activation.
- the gene construct of the invention has demonstrated effectiveness in suppressing replication and inducing cell senescence followed by cell death in the tumor cells having normal endogenous tumor suppressor RB 110 and/or p53 gene expression.
- the gene construct of the invention is able to suppress replication in lymphomas, leukemia and in tumor cells having tumor suppressor gene DCC and NFl genetic defects, as well as in other tumor cell types in which the genetic defects are unknown or have yet to be identified. 3.3.5. Ex Vivo Treatment of Tumor or Cancer Tissues
- a tumor cell is transduced with a retrovirus vector, an adenovirus vector, a plasmid vector or any other appropriate vector capable of expressing the p94 RB protein in that tumor cell.
- the cancer cell may be present in a blood or bone marrow sample collected from a leukemia patient.
- a dose of p94 RB protein expressing retrovirus vector or adenovirus vector or plasmid vector or any other appropriate vector is administered to the sample of blood or bone marrow at a dose sufficient to transduce enough cells in the sample to produce a reduction in tumor cell numbers.
- the cell proliferation of the treated cancer cells will be slowed or terminated followed by a process similar to normal cellular differentiation or cell senescence.
- Analo-gously, blood or bone marrow or other tissue is treated ex vivo using an effective dose of a lipsome- encapsulated p94 RB protein. Thereafter the sample may be returned to the donor or infused into another recipient.
- a retroviral vector, an adenovirus vector, a plasmid vector, or any other appropriate vector capable of expressing the p94 RB protein can be administered in vivo to a cancer by a wide variety of manipulations. All such manipulations have in common the goal of placing the vector in sufficient contact with the target tumor to permit the vector to transduce or transfect the tumor cells.
- cancers present in the epithelial linings of hollow organs may be treated by infusing the vector suspension into a hollow fluid filled organ, or by spraying or misting into a hollow air filled organ.
- the tumor cell may be present in or among the epithelial tissue in the lining of pulmonary bronchial tree, the lining of the gastrointestinal tract, the lining of the female reproductive tract, genito-urinary tract, bladder, the gall bladder and any other organ tissue accessible to contact with the vector.
- the cancer may be located in or on the lining of the central nervous system, such as, for example, the spinal cord, spinal roots or brain, so that vectors infused in the cerebrospinal fluid will contact and transduce the cells of the tumor in that space.
- the cancer is a solid tumor.
- the vector can be administered to the tumor by direct injection of the vector suspension into the tumor so that vectors will contact and transduce or transfect the tumor cells inside the tumor.
- the cancer may be a cancer of the blood, blood forming organs or any organ directly perfused by the blood, so that vectors injected into the blood stream will contact and treat the cells of the cancer.
- the cancer may be a leukemia, a lymphoma or other tumor type and the tumor cell may be present in the blood, the bone marrow, the spleen, the thymus, the liver and any other blood perfused organ.
- the vector is administered in a composition comprising the vector together with a carrier or vehicle suitable for maintaining the transduction or transfection efficiency of the chosen vector and promoting a safe infusion.
- a carrier may be a pH balanced physiological buffer, such as a phosphate, citrate or bicarbonate buffer, a saline solution, a slow release composition and any other substance useful for safely and effectively placing the vector in contact with abnormally proliferating cells to be treated.
- a carrier may be a pH balanced physiological buffer, such as a phosphate, citrate or bicarbonate buffer, a saline solution, a slow release composition and any other substance useful for safely and effectively placing the vector in contact with abnormally proliferating cells to be treated.
- AcMNPV Autographa California Multiple Nuclear Polyhedrosis Virus
- the coding sequence of a foreign gene can easily be placed under the transcriptional control of the polyhedron promoter, resulting in a high level of expression.
- such proteins may be correctly folded and contain appropriate post-translational modifications like those proteins in the native higher eukaryotes.
- the resulted DNA molecule has the nucleotide sequence of Figure 1 (SEQ ID NO:l; SEQ ID NO:2), which is also referred to herein as the second in-frame AUG codon-initiated RB protein gene, or the p94 RB encoding gene.
- the coded-for protein has the sequence of Figure 2 (SEQ ID NO:3) and is referred to herein as the second in-frame AUG codon-initiated RB protein, or the p94 RB protein.
- the recombinant transfer vector was constructed with insertion of the p94 RB gene into the pVL1393 plasmid so that the p94 RB gene was placed under the control of the polyhedron gene promoter.
- the resulting pVL-s-RB plasmid contains no additional AUG start codon upstream from the p94 M translation initiation site at nucleotide +19, and thus encodes a nonfusion p94 RB protein.
- the same strategy was employed to construct a pllO* 3 expression vector which was designated pVL/lst AUG-RB.
- Transfer of RB cDNAs from the recombinant vectors to the viral genome was accomplished by co-transfecting wild-type AcMNPV virus DNA with pVL-s- RB plasmid DNA or pVL/lst AUG-RB plasmid DNA.
- the recombinant viruses were subjected to three rounds of plaque purification to obtain a pure stock of RB- containing baculovirus, designated AcMNPV-RB94 and AcMNPV-RBllO, respectively.
- pllO 1 " 1 and p94 RB Proteins were purified from baculovirus-infected insect cells by immunoaffinity chromatography. Briefly, insect cells were harvested 24 hours after the virus infection and lysed at 4°C with EBC buffer (50 mM Tris-HCl, pH ⁇ .O, 120 mM NaCI, 0.5% NP-40, 50 / ig/ml aprotinin) .
- EBC buffer 50 mM Tris-HCl, pH ⁇ .O, 120 mM NaCI, 0.5% NP-40, 50 / ig/ml aprotinin
- the lysate was clarified by centrifugation and the pllO 8 - or p94 RB - containing supernatant was incubated with biotinylated WL-1 polyclonal anti-RB antibodies (Xu, H-J., et al., 1989, Oncogene, 4:807-812) at 4°C overnight.
- biotinylation of rabbit IgGs using succinimide ester followed the methods described by Bayer and Wilchek (Baylor, E.A. and Wilchek, M. , 1980, Methods Biochem. Anal.. 26:1-45).
- the RB protein-IgG- biotin complex was collected on a streptavidin agarose gel column. Purified pllO* 3 or p94 RB were eluted from separate columns using 100 mM glycine (pH 2.2) and neutralized with 1M of phosphate (pH 8.0).
- the AcMNPV-RBllO and AcMNPV-RB94 infected Sf9 cells were immunostained with MAb-1 anti-RB monoclonal antibody 24h after infection. As shown in Figure 4, intense staining was found exclusively in the nuclei of cells infected with either AcMNPV-RBllO (panel B) or AcMNPV-RB94 (panel C).
- pllO 1 ⁇ and p94 RB proteins purified from baculovirus-infected insect cells by immunoaffinity chromatography were tested for their ability to form a specific complex with SV40 T antigen. Briefly, equal amounts of p94 RB or pllO* 3 and T antigen were mixed and aliquots of the mixture were immunoprecipitated with PAB419 anti-T antibody. As shown in Figure 5, mixing of p94 RB (or pllOTM) with T antigen in vitro resulted in the co-immunoprecipitation of both under- and hypo- phosphorylated p94 RB (lane 5), or pllO 8 (lane 3) with PAB419.
- pllO ⁇ or p94 RB protein can form a specific complex with SV40 T antigen.
- the AcMNPV-RB94 virus-infected insect cells appear to make hyperphosphorylated p94 RB (lane 4) , which was unable to form complexes with SV40 T antigen (compare lane 4 with lane 5) .
- the second in-frame AUG codon-initiated p94 RB protein produced in recombinant virus-infected insect cells is a artificial but stable nuclear phosphoprotein with its under- and hypo-phosphorylated forms being able to assemble specific complex with SV40 T antigen, as does the naturally occurring RB protein species, pllO 1 ⁇ .
- RB retinoblastoma
- Hind II, at nucleotide +7 and the restriction enzyme, Seal, at nucleotide 3,230 The A of the second in-frame AUG codon of the full length RB cDNA open reading frame was designated nucleotide +19).
- the resulted 3,230 bp RB cDNA fragment had two blunt ends. Conversion of the blunt ends to restriction enzyme BamHI sites was done by ligation of a synthetic BamHI oligonucleotide linker (GGGATCCC) to each blunt end of the fragment followed by digestion with the BamHI enzyme.
- GGGATCCC synthetic BamHI oligonucleotide linker
- the desired RB cDNA fragment was inserted into the BamHI cloning site of a plasmid vector, pUC19, and propagated in the Escherichia coli strain, DH5 alpha bacterial cells.
- the recombinant plasmid was purified from a single DH5 alpha transformant and designated plasmid pUC-s-RB.
- This plasmid contains the desired RB cDNA fragment of 3,230 bp coding for the second in-frame AUG codon-initiated RB protein of 816 amino acids.
- RB cDNA plasmid Encoding the First In-Frame AUG Codon-initiated RB Protein.
- the full length RB cDNA plasmid was digested with the restriction enzyme, Acyl at nucleotide -322 and Seal at nucleotide 3,230.
- the Acyl ends (overhang 5'-CG) were repaired by "filling in” the ends with the Klenow fragment of E. coli DNA polymerase I in the presence of all 4 dNTPs to generate blunt ends. Conversion of the blunt ends to restriction enzyme BamHI sites was done as described above.
- the resulted RB cDNA fragment of 3,552 bp was inserted into the plasmid pUC19 and propagated in the Escherichia coli strain DH5 alpha, which was subsequently purified from a single DH5 alpha transformant and designated plasmid pUC-f-RB.
- This plasmid contains the RB cDNA fragment of 3,552 bp coding for the first in-frame AUG codon- initiated RB protein of 928 amino acids.
- the RB cDNA fragment of 3,230 bp coding for the second in-frame AUG codon-initiated RB protein of 816 amino acids (p94 RB ) was recovered from plasmid pUC-s-RB following the restriction enzyme, BamHI digestion, and re-inserted into the unique BamHI site of an expression plasmid, pHBAPr-1-neo (Gunning, P., et al., Proc. Natl. Acad. Sci.. USA. 1987, 84:4831-4835) in a orientation that the p94 RB coding sequence was under the direct control of the ⁇ -actin gene promoter.
- a plasmid vector with the correct insert orientation was selected by restriction endonuclease mapping after propagation in DH5 alpha Escherichia coli host cells, and was designated p ⁇ A-s-RB34 ( Figure 7B) .
- the corresponding DH5 alpha strain that contains plasmids P/5A-S-RB34 was thereafter designated DHB-S-RB34 (ATCC 69241, patent depository, American Type culture Collection) .
- the plasmid vector p ⁇ A-s-RB34 contains no additional AUG codon between the ⁇ -actin gene promoter and the second in-frame AUG codon of the RB coding sequence, and thus encodes a non-fusion p94 RB protein.
- the plasmid vector p ⁇ A-s-RB34 also confers a dominant selectable marker (geneticin resistance) in eukaryotic cells through expression of the neomycin phosphotransferase (neo) under separate control of an SV40 early promoter ( Figure 7, sv-neo) .
- the RB cDNA fragment of 3,552 bp coding for the first in-frame AUG codon-initiated RB protein of 928 amino acids (pllO RB ) was recovered from plasmid pUC-f-RB and re-inserted into the expression plasmid pHBAPr-1-neo downstream from the ⁇ -actin gene promoter.
- the resulting plasmid vector was designated p ⁇ A-f-RB33 ( Figure 7A) .
- the plasmid vector p ⁇ A-f-RB33 contains no additional AUG codon between the ⁇ -actin gene promoter and the first in-frame AUG codon of the RB coding sequence, and thus encodes a non-fusion pllO* 8 protein.
- an expression plasmid pCMV-Neo- Bam (Baker, S.J., et al., Science. 1990, 249:912-915) was used in place of plasmid pH ⁇ APr-1-neo.
- the vector included cytomegalovirus (CMV) promoter/enhancer sequences, which could drive expression of the insert at the BamHI site, and splicing and polyadenylation sites derived from the rabbit ⁇ -globin gene, which ensured proper processing of the transcribed insert in the cells.
- CMV cytomegalovirus
- a pBR322 origin of replication and ⁇ - lactamase gene facilitated propagation of the plasmid in E. coli .
- the plasmid conferred geneticin resistance (a selectable marker in eukaryotic cells) through expression of the neomycin phosphotransferase (neo) under the control of a herpes simplex virus (HSV) thymidine kinase promoter.
- HSV herpes simplex virus
- retroviral vector pLLRNL (Miller, A.D., Law, M.-F., Verma, I.M., Molec. Cell Biol. , 1985, 5:431) and amphotropic retrovirus packaging cell line, PA317 (ATCC CRL9078) (Miller, A.D., and Buttimore, C. , Molec. Cell Biol.. 1986, 6:2895-2902) are used.
- a plasmid p4.95BT or F7 containing the full-length RB gene cDNA is digested with the restriction enzyme Hind II at nucleotide +7 (the A of the second in-frame AUG codon of the full-length RB cDNA open reading frame was designated nucleotide +19) .
- Conversion of the Hind II site to restriction enzyme Hind III site is done by ligation of a synthetic Hind III oligonucleotide linker (CCAAGCTTGG) to the blunt ends of the linear plasmid DNA, followed by digestion with the Hind III enzyme.
- the linear plasmid DNA is further digested with restriction enzyme, Seal, at nucleotide 3,230.
- the resulted RB cDNA fragment of 3,230 bp codes for the second in-frame AUG codon-initiated RB protein of 816 amino acids (p94 ⁇ ) .
- This fragment has a 5'-Hind III site (cohesive end) and a 3'-Seal site (blunt end) , which facilitates its insertion into the retroviral vector, pLLRNL.
- the vector pLLRNL is digested with two sets of restriction enzymes: Hind III/ClaI and Smal/Clal to delete the luciferase gene. Appropriate fragments are recovered from the agarose gel following electrophoresis, and ligated with the RB cDNA fragment of 3,230 bp to form a new vector, pLRB94RNL, in which the p94 RB expression is under the control of the long terminal repeat sequences of Moloney murine leukemia virus (MuLV LTRs) .
- the basic protocol for construction of the retroviral vector, pLRB94RNL is modified from Huang, H.-J.S., et al., 1988, Science. 242:1563-1566.
- the vector pLLRNL is digested with a single restriction enzyme, Hind III, to delete the luciferase gene, as well as the Rous sarcoma virus promoter (RSV) .
- An appropriate DNA fragment is recovered from the p94 RB expression plasmid, pCMV-s-RB42 (or p ⁇ A-s-RB34) .
- the recovered DNA fragment which contains the 3,230 bp RB cDNA fragment and 5'-flanking CMV promoter (or ⁇ -actin promoter), is inserted into the Clal restriction site of the retroviral vector. Conversion between the restriction enzyme sites is done by the methods as described ⁇ upra in Section 4.3.7.
- the p94 RB gene is under the control of an internal promoter (the CMV promoter or ⁇ -actin promoter) , while the Tn5 neomycin-resistance gene (Neo) is under the control of the MuLV LTRs.
- An internal promoter the CMV promoter or ⁇ -actin promoter
- Teo Tn5 neomycin-resistance gene
- a safe and efficient amphotropic packaging cell line is necessary for transfer of retroviral vector genes into human cancer cells.
- the virus packaging methods are modified from the method of Miyanohara et al., Proc. Natl. Acad. Sci. , USA. 1988, 85:6538-6542. For this protocol, the PA317 packaging cell line is used. This packaging cell line has received prior approval for use in human gene therapy clinical trials.
- the retroviral vector (pLRB94RNL) DNA is transfected into PA317 packaging cells by LIPOFECTIN reagent (GIBCO BRL Life Technologies, Inc., Gaithersburg, MD) or electroporation methods as described in Sections 4.4.1. infra . Single colonies are isolated by selection in G418-containing medium (400 ⁇ g/ml) and expanded into mass cultures.
- PA317 clones To titer the virus produced by selected PA317 clones, dilutions of cell-free culture medium from each PA317 clone are applied to 208F rat fibroblasts (indicator cells) in the presence of POLYBRENE (Sigma, 4 ⁇ g/ml) and G418 selection (400 ⁇ g/ml) is started 24 hours after infection. After two weeks, G418-resistant colonies are visualized by Giemsa staining and viral titers are determined (colony-forming units per milliliter, cfu/ml) . PA317 clones producing high virus titers are then assayed for human p94 RB protein expression by Western immunoblotting as described previously
- the recombinant adenovirus Ad-RB94 is constructed from the adenovirus type 5 (Ad5) deletion mutant,
- Ad-dl324 and a plasmid, pTG5955, in which the human
- CFTR cDNA has been replaced by the human RB cDNA fragment of 3,230 bp coding for the p94 RB protein.
- the plasmid pTG5955 containing the RB cDNA insert is linearized by restriction enzyme Clal cleavage and co-transfected with the large fragment of Clal-cut Ad-dl324 DNA into 293 (ATCC CRL1573) cells to allow homologous recombination to occur, followed by replication and encapsidation of recombinant adenoviral DNA into infectious virions and the formation of plaques.
- Ad-RB94 adenovirus plaques containing the human RB cDNA
- Ad-RB94 viruses are propagated in 293 cells and recovered 36 hours after infection.
- the viral preparation is purified by CsCl density centrifugation, and stored in virus dialysis buffer (10 mM Tris-Hcl, pH7.4; 1 mM MgCl 2 ) at 4°C for immediate use; or stored at -70°C prior to use (with the addition of 10% glycerol) .
- the basic protocol for construction of the recombinant adenovirus Ad-RB94 is modified from Rosenfeld, M.A., et al.. Cell. 1992, 68:143-155.
- the p94 RB expressing plasmid vectors pCMV-s-RB42 or pBA-s-RB34 are used to form complexes with liposomes, and directly treat tumor cells in vivo (or ex vivo) . In this procedure, as described in
- Human tumor cells having known RB gene deficiencies were treated with the p94 RB plasmid vector p ⁇ A-s-RB34 (or pCMV-s-RB42) .
- These include: 1) human bladder carcinoma cell line, 5637, (ATCC HTB9) ; 2) human breast carcinoma cell line, MDA-MB-468 (ATCC HTB132) ; 3) human non-small cell lung carcinoma cell line, H2009 (Kratzke, R.A. , et al., 1992, The Journal of Biological Chemistry.
- human prostate carcinoma cell line DU145 (ATCC HTB81) ; 5) human osteosarcoma cell line, Saos2 (ATCC HTB85) ; and 6) human fibrosarcoma metastatic to lung cell line, HS913T (ATCC HTB152) .
- tumor cells were transiently transfected with the plasmid DNA p ⁇ A-s-RB34 (or pCMV-s-RB42) via LIPOFECTIN reagent (GIBCO BRL Life Technologies, Inc. Gaithersberg, MD) . Similar results have been obtained from transfection using calcium phosphate or electroporation methods.
- Tumor cells were seeded in 100-mm dishes in appropriate growth medium supplemented with serum. The cells were incubated at 37°C in a 5% C0 2 environment until the cells were 40-60% confluent. This usually took 18-24 hours, but the time varied among cell types.
- Solution A for each dish of cells to be transfected, 5-10 ⁇ g of plasmid DNA were diluted into a final volume of lOO ⁇ l with serum-free medium;
- Solution B for each dish of cells to be transfected, 30-50 ⁇ l of LIPOFECTIN reagent was diluted into a final volume of lOO ⁇ l with serum- free medium.
- the two solutions were combined, mixed gently, and incubated at room temperature for 10-15 min.
- the LIPOFECTIN reagent interacted spontaneously with plasmid DNA to form a lipid-DNA complex. While the lipid-DNA complex was forming, the cells were washed twice with 6 ml of serum-free medium.
- tumor cells were transfected with the plasmid DNA p ⁇ A-f-RB33 or pCMV-f-RB35 which expresses the pllO* 8 .
- the following assays were used to evaluate the growth inhibitory effects of introducing p94 RB versus pllO 0 expression in RB defective tumor cells:
- the tumor cells were labeled with [ 3 H]-thymidine for 2 hours, then transferred to polylysine-coated slides, fixed and immunocytochemically stained with a monoclonal anti-RB antibody, MAb-l (Triton Biosciences, Inc. Alameda, CA) .
- MAb-l Monoclonal anti-RB antibody
- the RB-positive transfected cells were counted under the microscope.
- the slides were then coated with Kodak NTB2 autoradiographic emulsion and exposed for 7-10 days.
- the [ 3 H]-thymidine labeling and RB protein immunocytochemical staining were done according to the methods previously described (Xu et al., Oncogene. 1991, 6:1139-1146).
- the tumor cells were replated at a density of 10 5 cells per 100 mm dish with selected medium containing G418 of 400-600 ⁇ g/ml. Cells were cultured for 2 to 3 weeks and colonies of >100 cells were scored. The data are illustrated in Table 3. Cells treated with plasmid vectors expressing p94 RB formed approximately four-fold fewer colonies than those transfected with pllO* 8 plasmid vectors. The difference was statistically significant (p ⁇ 0.05 by t-test) .
- Table 3 Growth inhibitory effects of introducing pi 10TM and p94TM expression into RB-defective bladder carcinoma cell line, 5637 (HTB9). Each number represents 6 to 11 dishes.
- the HTB9 transfectants were also immunostained with MAb-1 anti-RB monoclonal antibody about 24 hours after transfection. The staining results are illustrated in Figure 8.
- Two RB+ human cell lines (i.e., having no RB gene defect) , including a human fibrosarcoma cell line, HT1080 (ATCC CCL121) , and human cervix carcinoma cell line, HeLa (ATCC CCL2) were treated with the p94 ⁇ protein expression plasmid, pCMV-s-RB42, using the LIPOFECTIN reagent as described supra .
- these cell lines were also transfected with the pllO* 8 protein expression plasmid, pCMV-f-RB35.
- the colony formation assay as described ⁇ upra was used to evaluate the growth inhibitory effects of introducing exogenous p94 RB versus pllO* 8 expression in RB + tumor cells.
- Table 4 Growth inhibitory effects of introducing pi 10TM and p94TM expression into RB-positive human fibrosarcoma cell line, HT1080 and the RB positive human cervix carcinoma cell line, HeLa.
- the RB expression was under the control of cytomegalovirus (CMV) promoter.
- CMV cytomegalovirus
- transfected bladder carcinoma cell line, 5637 (ATCC HTB9) was measured by pulse-labeling of transfected 5637 cells with [ 35 S]-methionine followed by a chase with excess unlabeled methionine ( Figure 9) .
- the bladder tumor cells were transfected in multiple dishes with either pllO 8 ( Figure 9, left) or p94 RB ( Figure 9, right) expression plasmids. Twenty- four hours after transfection the cells were labeled with [ 35 S]-methionine and chased with excess unlabeled methionine for 0, 6, 12 and 24 hours, respectively. RB proteins were determined by immunoprecipitation.
- p94 RB protein in the transfected 5637 cells was determined to be 12 hours. In contrast, the half-life of pllO* 3 protein was 4-6 hours. Therefore, p94 RB protein expressed in host tumor cells has a slower turnover, which is believed to contribute to its efficacy as a suppressor of both RB+ and RB- tumor cell replication.
- the comparative phosphorylation states of pllO* 8 and p94 RB in transiently transfected 5637 cells were determined by Western blot analysis: cell-lysates were made from WI-38, parental 5637 and p ⁇ A-f-RB33 (expressing pllO* 8 , Section 4.3.5) or pBA-s-RB34
- Tumor cells from RB minus human bladder carcinoma cell line, 5637 (ATCC HTB9) and RB + human bladder carcinoma cell line, SCaBER (ATCC HTB3) are injected directly into the bladders of female athymic (nu/nu) nude mice (6 to 8 weeks of age) by a catheter as initially reported by Jones and his colleagues (Ahlering, T.E., et al., Cancer Res. , 1987, 47:6660-6665) .
- nude mouse bladder tumors Development and progression of the nude mouse bladder tumors are monitored using a fiber-optical system to which a TV monitor is attached.
- the experimental tumors are subsequently treated with retrovirus vectors expressing the p94 RB .
- Supernatants with high virus titers are obtained from tissue culture media of selected PA317 clones expressing high level of human p94 RB protein (Section 4.3.7) and confirmed as free of replication- competent virus prior to use.
- the retroviral vector suspension at high titers ranging from 4 x 10 4 to greater than 1 x 10 7 colony-forming unit (cfu)/ml, and more preferably at a titer greater than 1 x 10 6 cfu/ml is then infused directly into the mouse bladders via a catheter to treat the tumors.
- the skilled artisan will understand that such treatments can be repeated as many times as necessary via a catheter inserted into the bladder.
- the tumor regression following transferring the p94 RB gene is monitored frequently via the fiber-optic system mentioned above.
- NCI-H460 (ATCC HTB177) cells which have normal pllO* 8 expression are injected into the right mainstream bronchus of athymic (nu/nu) nude mice (10 5 cells per mouse) . Three days later the mice are inoculated endobronchically with supernatant from the p94 RB , or pllO* 8 retrovirus producer cells daily for three consecutive days. Tumor formation is suppressed in the group of mice treated with the p94 RB retrovirus supernatant. In contrast, in the other group, which is treated with pllO* 8 retrovirus supernatant, the majority of mice develop endobronchial tumors.
- Non-small cell lung cancer patients having an endobronchial tumor accessible to a bronchoscope, and also having a bronchial obstruction, are initially selected for p94 RB gene therapy. Treatment is administered by bronchoscopy under topical or general anesthesia. To begin the procedure, as much gross tumor as possible is resected endoscopically. A transbronchial aspiration needle (21G) is passed through the biopsy channel of the bronchoscope.
- the residual tumor site is injected with the appropriate retroviral vector supernatant (Section 4.3.7), adenovirus Ad-RB94 suspension (Section 4.3.8) or p94 RB -expressing plasmid vector- liposome complexes (Section 4.3.4 and 4.3.6) at a volume of 5 ml to 10 ml.
- Protamine is added at a concentration of 5 ⁇ q/ml .
- the injections of therapeutic viral or plasmid supernatant comprising one or more of the vectors are administered around and within the tumor or tumors and into the submucosa adjacent to the tumor. The injections are repeated daily for five consecutive days and monthly therafter. The treatment may be continued as long as there is no tumor progression. After one year the patients are evaluated to deteri e whether it is appropriate to continue therapy.
- the patients wear a surgical mask for 24 hours following injection of the viral supernatant. All medical personnel wear masks routinely during bronchoscopy and injection of the viral supernatant. Anti-tussive is prescribed as necessary.
- target tumor or cancer cells are treated by introducing p94 RB protein into cells in need of such treatment by any known method.
- liposomes are artificial membrane vesicles that have been extensively studied for their usefulness as delivery vehicles of drugs, proteins and plasmid vectors both in vitro or in vivo (Mannino, R.J. et al., 1988, Biotechnigues. 6:682- 690) . Proteins such as erythrocyte anion transporter (Newton, A.C. and Huestis, W.H. , Biochemistry.
- small-particle aerosols provide a method for the delivery of drugs for treatment of respiratory diseases.
- drugs can be administered in small-particle aerosols by using liposomes as a vehicle. Administered via aerosols, the drugs are deposited rather uniformly on the surface of the nasopharynx, the traceheobronchial tree and in the pulmonary area (Knight, V. and Gilbert, B., 1988, European Journal of Clinical Microbiology and Infectious Diseases. 7:721-731) .
- the therapeutic p94 RB protein is purified, for example, from recombinant baculovirus AcMNPV-RB94 infected insect cells by immunoaffinity chromatography (Sections 4.1 and 4.2) or any other convenient source.
- the p94 RB protein is mixed with liposomes and incorporated into the liposome vesicles at high efficiency.
- the encapsulated p94 RB is active. Since the aerosol delivery method is mild and well-tolerated by normal volunteers and patients, the p94 RB -containing liposomes can be administered to treat patients suffering from lung cancers of any stage and/or to prevent lung cancers in high-risk population.
- the p94 RB protein- containing liposomes are administered by nasal inhalation or by a endotracheal tube via small- particle aerosols at a dose sufficient to suppress abnormal cell proliferation. Aerosolization treatments are administered to a patient for 30 minutes, three times daily for two weeks, with repetition as needed. The p94 RB protein is thereby delivered throughout the respiratory tract and the pulmonary area. The treatment may be continued as long as necessary. After one year the patent's overall condition will be evaluated to determine if continued therapy is appropriate.
- the retroviral vector, pLRB94RNL, expressing p94 RB protein as described supra in section 4.3.7. was introduced into normal mouse fibroblast-derived retrovirus-packaging cell line, PA317 (ATCC CRL9078) by LIPOFECTIN reagent (GIBCO BRL Life Technologies, Inc., Gaithersburg, MD) . Single cell colonies were isolated by selection in G418-containing medium and expanded into mass cultures. These clonal cells had been maintained over a one-year period of continuous culture, and stably expressed high levels of p94 RB protein as determined by immunocytochemical staining ( Figure 11) or by Western immunoblotting.
- the retroviral plasmid vector, pLRB94RNL, expressing p94 ⁇ protein as described supra in section 4.3.7. was mixed with DMRIE/DOPE Liposomes (VICAL, Inc., San Diego, CA) and infused directly into the mouse urinary bladders via a catheter. Forty-eight hours after treatment, the mice were sacrificed and bladders excised. As demonstrated by immunohistochemical staining of the p94 RB protein in paraffin-embedded tissue sections from the mouse bladders ( Figure 12) , the liposome-encapsulated p94 RB expressing retroviral plasmid vectors penetrated the mucosa of mouse bladders and expressed p94 RB protein in the great majority of the transitional cells.
- transitional epithelia expressing the p94 RB were histologically normal ( Figure 12, panel D, arrows), and were indistinguishable from the mucosa in untreated mouse bladders or mouse bladders treated with liposomes only ( Figure 12) .
- the results from such animal experiments strongly suggest that the p94 RB treatment, unlike the conventional cytotoxic cancer therapy, is non-toxic to normal tissues in vivo .
- GAA GTA TTA CAA ATG GAA GAT GAT CTG GTG ATT TCA TTT CAG TTA ATG 339 Glu Val Leu Gin Met Glu Asp Asp Leu Val He Ser Phe Gin Leu Met 95 100 105
- GAT GCA AGA TTA TTT TTG GAT CAT GAT AAA ACT CTT CAG ACT GAT TCT 723 Asp Ala Arg Leu Phe Leu Asp His Asp Lys Thr Leu Gin Thr Asp Ser 220 225 230 235
- GGC AAC TTG ACA AGA GAA ATG ATA AAA CAT TTA GAA CGA TGT GAA CAT 1347 Gly Asn Leu Thr Arg Glu Met He Lys His Leu Glu Arg Cys Glu His 430 435 440
- ACG CGT GTA AAT TCT ACT GCA AAT GCA GAG ACA CAA GCA ACC TCA GCC 1587 Thr Arg Val Asn Ser Thr Ala Asn Ala Glu Thr Gin Ala Thr Ser Ala 510 515 520
- AAA AAA AAA GTG TAT CGG CTA GCC TAT CTC CGG CTA AAT ACA CTT TGT GAA 1683 Lys Lys Val Tyr Arg Leu Ala Tyr Leu Arg Leu Asn Thr Leu Cys Glu 540 545 550 555 CGC CTT CTG TCT GAG CAC CCA GAA TTA GAA CAT ATC ATC TGG ACC CTT 1731 Arg Leu Leu Ser Glu His Pro Glu Leu Glu His He He Trp Thr Leu 560 565 570
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AU2336592A (en) * | 1991-06-10 | 1993-01-12 | Research Development Foundation | Rb transferred cells and method |
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1993
- 1993-03-25 US US08/038,760 patent/US5496731A/en not_active Expired - Fee Related
-
1994
- 1994-03-23 IL IL10909294A patent/IL109092A/en unknown
- 1994-03-24 EP EP94911697A patent/EP0693874A4/en not_active Withdrawn
- 1994-03-24 KR KR1019950704162A patent/KR100326136B1/en not_active IP Right Cessation
- 1994-03-24 CA CA002159085A patent/CA2159085A1/en not_active Abandoned
- 1994-03-24 AU AU64154/94A patent/AU697446B2/en not_active Ceased
- 1994-03-24 WO PCT/US1994/003211 patent/WO1994021115A1/en not_active Application Discontinuation
- 1994-03-24 JP JP52137494A patent/JP3739787B2/en not_active Expired - Fee Related
- 1994-03-28 TW TW083102717A patent/TW379227B/en active
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1995
- 1995-06-06 US US08/470,091 patent/US5912236A/en not_active Expired - Fee Related
Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
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EP0259031A2 (en) * | 1986-08-11 | 1988-03-09 | MASSACHUSETTS EYE & EAR INFIRMARY | Human DNA in the diagnosis of retinoblastoma |
Non-Patent Citations (4)
Title |
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KOICHIRO MIHARA ET AL.: "Cell cycle-dependent regulation of phosphorylation of the human retinoblastoma gene product", SCIENCE, vol. 246, no. 4935, 8 December 1989 (1989-12-08), LANCASTER, PA US, pages 1300 - 1303, XP002029759 * |
See also references of WO9421115A1 * |
XU, HONG-JI ET AL: "Enhanced tumor cell growth suppression by an N-terminal truncated retinoblastoma protein", PROC. NATL. ACAD. SCI. U. S. A. (1994), 91(21), 9837-41 CODEN: PNASA6;ISSN: 0027-8424, 1994, XP002029760 * |
YOSHINORI MURAKAMI ET AL.: "Inactivation of the retinoblastoma gene in a human lung carcinoma cell line detected by single-strand confirmation polymorphism analysis of the polymerase chain reaction product of cDNA", ONCOGENE, vol. 6, no. 1, January 1991 (1991-01-01), pages 37 - 42, XP000671241 * |
Also Published As
Publication number | Publication date |
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IL109092A (en) | 2005-09-25 |
CA2159085A1 (en) | 1994-09-29 |
KR960700752A (en) | 1996-02-24 |
US5496731A (en) | 1996-03-05 |
EP0693874A1 (en) | 1996-01-31 |
IL109092A0 (en) | 1994-06-24 |
JP3739787B2 (en) | 2006-01-25 |
WO1994021115A1 (en) | 1994-09-29 |
AU697446B2 (en) | 1998-10-08 |
JPH08508166A (en) | 1996-09-03 |
TW379227B (en) | 2000-01-11 |
AU6415494A (en) | 1994-10-11 |
US5912236A (en) | 1999-06-15 |
KR100326136B1 (en) | 2002-11-23 |
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